Individual
BRIAN C CROTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3085 HARLEM RD, SUITE 200, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5050
Mailing address
3085 HARLEM RD, SUITE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000570484001
BCBS OF WNY
NY
05
—
02555686
—
NY
01
—
148338FZ
PREFERRED CARE
NY
01
—
161511795
NOVA
NY
01
—
9512546
IHA
NY
01
—
P00149417
RR MEDICARE
NY
Enumeration date
06/30/2005
Last updated
08/13/2015
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